Healthcare Provider Details

I. General information

NPI: 1366067035
Provider Name (Legal Business Name): REMEDY INSTITUTE OF TRICHOLOGY & ONCOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2020
Last Update Date: 01/14/2026
Certification Date: 01/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1903 N PINE ST
LUMBERTON NC
28358-3969
US

IV. Provider business mailing address

PO BOX 2091
LUMBERTON NC
28359-2091
US

V. Phone/Fax

Practice location:
  • Phone: 910-674-7319
  • Fax:
Mailing address:
  • Phone: 910-674-7319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: SHANESE SPAULDING
Title or Position: TRICHOLOGIST
Credential:
Phone: 910-674-7319